Trial reportBMC medical informatics and decision making2024
Implementation of digital remote postoperative monitoring in routine practice: a qualitative study of barriers and facilitators.
Trial report in BMC medical informatics and decision making, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05069103 (ImplementatioN of Remote Surgical wOund Assessment During the coviD-19 pandEmic), which is not on this map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
ImplementatioN of Remote Surgical wOund Assessment During the coviD-19 pandEmic
Who cites it
7 citing papers in PubMed.
- Patients' expectations and barriers towards postoperative telehealth follow-up after oncologic breast surgery in France.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Exploring Collaboration Breakdowns Between Provider Teams and Patients in Post-Surgery Care.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2026Article
- Digital alert fatigue and escalation behaviours in nurse-led remote postoperative care: a cross-sectional study.BMC nursing · 2026Article
- Perioperative nursing process-oriented bundled interventions and digital monitoring for the prevention of surgical site infections.Frontiers in medicine · 2026Review
- The impact of smartphone-based monitoring on reducing National Health Service visits for cardiothoracic patients with surgical site infections.Infection prevention in practice · 2025Article
- Wearables in Healthcare Organizations: Implications for Occupational Health, Organizational Performance, and Economic Outcomes.Healthcare (Basel, Switzerland) · 2025Review
- Multimodal machine learning to predict surgical site infection with healthcare workload impact assessment.NPJ digital medicine · 2025Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
introductionRemote monitoring can strengthen postoperative care in the community and minimise the burden of complications. However, implementation requires a clear understanding of how to sustainably integrate such complex interventions into existing care pathways. This study aimed to explore perceptions of potential facilitators and barriers to the implementation of digital remote postoperative monitoring from key stakeholders and derive recommendations for an implementable service.
methodsA qualitative implementation study was conducted of digital remote postoperative wound monitoring across two UK tertiary care hospitals. All enrolled patients undergoing general surgery, and all staff involved in postoperative care were eligible. Criterion-based purposeful sampling was used to select stakeholders for semi-structured interviews on their perspectives and experiences of digital remote postoperative monitoring. A theory-informed deductive-inductive qualitative analysis was conducted; drawing on normalisation process theory (NPT) to determine facilitators for and barriers to implementation within routine care.
resultsThere were 28 semi-structured interviews conducted with patients (n = 14) and healthcare professionals (n = 14). Remote postoperative monitoring was perceived to fulfil an unmet need in facilitating the diagnosis and treatment of postoperative complications. Participants perceived clear benefit to both the delivery of health services, and patient outcomes and experience, but some were concerned that this may not be equally shared due to potential issues with accessibility. The COVID-19 pandemic demonstrated telemedicine services are feasible to deliver and acceptable to participants, with examples of nurse-led remote postoperative monitoring currently supported within local care pathways. However, there was a discrepancy between patients' expectations regarding digital health to provide more personalised care, and the capacity of healthcare staff to deliver on these. Without further investment into IT infrastructure and allocation of staff, healthcare staff felt remote postoperative monitoring should be prioritised only for patients at the highest risk of complications.
conclusionThe COVID-19 pandemic has sparked the digital transformation of international health systems, yet the potential of digital health interventions has yet to be realised. The benefits to stakeholders are clear, and if health systems seek to meet governmental policy and patient expectations, there needs to be greater organisational strategy and investment to ensure appropriate deployment and adoption into routine care.
trial registrationNCT05069103.
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